STUDY GUIDE 4th YEAR MBBS, RMDC.rmdc.edu.pk/wp-content/uploads/2019/08/4TH-YEAR-STUDY... · 2019....
Transcript of STUDY GUIDE 4th YEAR MBBS, RMDC.rmdc.edu.pk/wp-content/uploads/2019/08/4TH-YEAR-STUDY... · 2019....
STUDY GUIDE
4th YEAR MBBS,
RMDC.
2018-2019
DEPARTMENT OF GYNECOLOGY & OBSTETRICS
4TH Year MBBS
Obst./Gynae : Non-Examination Subject
1.Curriculum
Organization
a) Credit Hours
b) Time Tables & Batches
c) UHS Syllabus
Min. hours : 100 (Anx8)
Clinical : Theoretical
Teaching Teaching
70% 30%
70 hours 30 hours
Annexure # 1,2,3
Annexure # 4
2.Academic
Management
I. Academic Calendar
II. Planners with
Facilitator name &
topic.
III. Method of Teaching
IV. Assessments
No summative
assessment as non-
examination subject.
Annexure # 5
Annexure # 6,7
1.Interactive lectures
2.Small group
Discussions(SGD)/
Clinical Teaching
Bed side teaching
Teaching rounds
Case presentations
CPCs
Short case
discussions
In OPDs
Procedures
Workshops
Formative Assessment Only:
-History taking/long
cases
-OSPE
-During learning
activities , continuous
assessment
- Revision at monthly
intervals
3.Outcomes
At the end of academic
session, the student will be
to
- Have clear
knowledge about
diseases related to
gyne & obst.
- Take concise
history of gyne.&
obst cases
- Do proper
abdominal
examination of a
pregnant woman
- Identify common
instruments used in
gyne OPD.
- Infer differential
diagnosis on the
basis of history
and clinical
examination
- Advise relevant
laboratory
investigations
4.Program
Evaluation
For evaluation we remain in
direct contact with Medical
Education Department and
students.
As per UHS/PMDC
Rules
Annexure 1
Annexure 2
Annexure 3
UHS Syllabus : OBSTETRICS Annexure no.4
The course outline is as follows:
1. Introduction.
2. Obstetric History Taking & Examination.
3. Conception, Implantation & Development of placenta, its abnormalities and
fetal circulation.
4. Fetal skull and bony pelvis.
5. Diagnosis of pregnancy.
6. Physiological changes associated with pregnancy.
7. Antenatal care.
8. Early pregnancy loss and its complications.
9. Physiology of labor.
10. Mechanism of labor.
11. Management of labor.
12. Complications of Third stage of labor.
13. Abnormal labor e.g. prolonged labor, obstructed labor.
14. Preterm labor.
15. Induction of labor.
16. Intrauterine Growth restriction and its management.
17. Post maturity.
18. Conduction of Normal delivery.
19. Operative delivery e.g. Forceps / Vacuum delivery.
20. Hypertensive disorders of pregnancy-PET, Eclampsia, Essential
hypertension.
21. Obstetric shock.
22. Caesarean section.
23. Antepartum Hemorrhage.
24. Hydramnios.
25. Hyperemesis Gravidarium.
26. Medical disorders associated with pregnancy e.g.
Pregnancy with Anemia.
Pregnancy with Heart disease.
Pregnancy with Diabetes.
Pregnancy with jaundice/hepatitis.
Renal problems during pregnancy.
27. Fetal distress and its management.
28. Fetal Monitoring.
29. Fetal presentations.
30. Breech presentation.
31. Occipito posterior position.
32. Brow presentation.
33. Face presentation.
34. Cord Prolapse / Compound presentation.
35. Transverse lie / Unstable lie.
36. Multiple Pregnancy.
37. Normal & Abnormal puerperium.
38. Examination of new born baby.
39. Resuscitation of new born baby.
40. Minor problems of the new-born.
41. Breast feeding & its significance.
42. Hematological disorders of pregnancy e.g. Rh incompatibility,
Thalassemia.
43. Role of Ultrasound in Obstetrics
44. Fetal congenital abnormalities.
45. Vital statistics.
GYNAECOLOGY
The course outline is as follows:
1. Introduction.
2. Anatomy of female genital organs and their development.
3. Puberty and Adolescence.
4. Ovulation and its clinical importance.
5. Normal menstruation.
6. Menstrual Abnormalities.
7. Gynecological history taking and examination.
8. Minor gynecological operative procedures.
9. Amenorrhea.
10. Infertility.
11. Contraception.
12. Ectopic pregnancy.
13. Trophoblastic tumors.
14. Lesions of vulva.
15. Tumors of Vagina.
16. Tumors of Cervix.
17. Tumors of Ovaries.
18. Tumors of uterus.
19. Tumors of fallopian tubes.
20. Menopause/Hormone replacement therapy.
21. Genital prolapse.
22. Pelvic floor injuries.
23. Urogynecology.
24. Problems of marriage & sexual problems.
25. Vaginal discharge.
26. Infections of upper & lower female genital tract.
27. Pre-operative preparations.
28. Post-operative complications & management.
29.Role of ultrasound in gynecology.
Annexure 5
Annexure 6
4th Year MBBS Planner for Lecture Schedule
2018-19
S.No TOPICS NO. OF
LECTURES
FACILITATOR
1. The developmental anatomy of
female genital tract
2 Asst. Prof
2. The Gynecological History Taking
and Examination
2 Asst. Prof
3. Physiology of Normal Menstrual
Cycle
1 Senior Registrar
(With Asso.Prof.)
4. Implantation & Early Pregnancy
1 Asst. Prof
5. Revision 2 Asst.Prof
6. Infertility 1 Prof.
7. Contraception 2 Assoc.Prof
8. Menopause 1 Asst.Prof.
9. Urogynecology Introduction 1 Sr. Registrar
(with Prof.)
10. Benign conditions of Ovary 1 Professor
11. Revision 1 Assoc.Prof
12. Benign Conditions of Uterus 1 Asst.Prof
13. Benign Conditions of Vulva/Vagina
Cervix
2 Sr.Registrar
(with Asso.Prof)
14. Councelling in Gynae./Obstetrics 1 Professor
15. OSPE-How to perform 1 Professor
16. Normal Physiological Changes in
pregnancy
1 Assit.Prof.
17. Miscarriages 1 Asst.Prof.
18. Antepartum Hemorrhage 1 Sr.Registrar
(with Prof.)
19. Normal Labor 1 Asso.Prof.
20. Revision 1 Asst.Prof
21. Management of Normal Labor 1 Prof.
22. Abnormal Labor 1 Asst.Prof
23. Anemia in Pregnancy 1 Asso.Prof
24. Revision 1 Asst.Prof
25. Assessment of Fetal wellbeing/CTG 1 Sr.Registrar
(with Asso.Prof)
26. Diabetes in Pregnancy 2 Asst.Prof.
27. Induction/Augmentation of Labor 1 Prof.
28. Fetal Growth Restriction in
Pregnancy
1 Asso.Prof
29. Revision 1 Asst.Prof
30. Post-partum Hemorrhage 1 Sr.Registrar
(with Asso.Prof)
31. Polyhydramnios 1 Prof
32. Oligohydramnios 1 Sr.Registrar
(with Asso.Prof)
33. Revision 1 Prof.
Annexure 7
4Th Year MBBS Planner for Clinical Rotation in
Gynae. /Obstetrics
Time: 11.00am to 02.45pm
FIRST
WEEK
SECOND
WEEK
THIRD WEEK FOURTH
WEEK
Monday
History
Taking
(Sr.Reg.)
Tuesday
History
Taking
(Asst.Prof)
Wednesday
Examination
Obstetric
patient.
(Asst.Prof.)
Thursday
Examination
in Gynae.
patient
(SR)
Friday
CPC
Revision
Demonstration.
Case
Presentation
OT.
(instruments)
Case
presentation
CPC
OT
Case presentation
OT
Case presentation
CPC
OT
Case presentation
OT
Case Presentation
CPC
Annexure 8